A Case of Gastritis Cystica Profunda Associated with Gastric Perforation and Hypertrophic Gastric Folds.
- Author:
Jeong Sun LEE
1
;
Dong Hoon KANG
;
Moon Gi CHUNG
;
Hang Jin LEE
;
Sung Gwon KIM
;
Dong Kyun PARK
;
Ju Hyun KIM
;
Myung Hwan YOON
;
Dong Hae JUNG
;
Yong Il KIM
Author Information
1. Department of Internal Medicine, Gil Medical Center, Gachon Medical School, Incheon, Korea. dhkang@ghil.com
- Publication Type:Case Report
- Keywords:
Gastritis cystica profunda (GCP);
Perforation;
Endoscopic ultrasonography;
Mucosectomy
- MeSH:
Diagnosis;
Endosonography;
Gastric Mucosa;
Gastritis*;
Ischemia;
Mucous Membrane;
Polyps;
Rare Diseases;
Stomach Neoplasms;
Sutures
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(3):174-178
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastritis cystica profunda (GCP) is a rare disease in which cystically dilated gastric foveolae or glands extend into the muscularis mucosae or below. The pathogenesis of GCP has been described as an interruption of the muscularis mucosae and migration of epithelial elements to submucosa caused by presence of suture materials after surgery or erosion of the gastric mucosa in chronic gastritis and ischemia. Macroscopically, GCP may present not only as a giant gastric mucosal folds but also as a submucosal tumor or as solitary or diffuse polyps. An endoscopic ultrasonographic (EUS) findings clearly differ from findings in the other disordes. The combination of EUS and mucosectomy appears to be very useful for the diagnosis of GCP. Therefore, all unnecessary surgical procedures should be avoided in cases of GCP. We report a case of GCP associated with gastric perforation which presented as diffuse giant gastric folds and clinically advanced gastric cancer was suspected.
